Articles |
From the Department of Pharmacology (C.L., Y.M., S.M.), Faculty of Medicine, Université de Montréal (Canada), and Centre de Recherche (S.M.), Hôtel-Dieu de Montréal (Canada).
Correspondence to Chantal Lambert, BPharm., PhD, CP 6128, Succursale Centre-Ville, Montréal, H3C 3J7, Canada.
| Abstract |
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Key Words: cardiomyopathic hamsters angiotensin receptors losartan hypertrophy heart
| Introduction |
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The growth-promoting action of Ang II might be mediated by circulating or locally produced hormone. As in several other organs and tissues, the heart also appears to possess its own local renin-angiotensin system, which may function in an autocrine or paracrine manner.1 2 17 Thus, all of the components required for local production of Ang II, angiotensinogen,18 19 renin,19 20 and angiotensin-converting enzyme21 have been identified in the heart. Moreover, the presence of Ang II immunoreactivity has been detected in cultured rat cardiac myocytes and fibroblasts and in the culture medium of stretch-stimulated cells.22 23
Ang II exerts its physiological actions by interacting with two pharmacologically distinct subtypes of receptors, identified as AT1 and AT2.24 Pharmacological studies have revealed that the AT1 subtype is responsible for the all known biological actions of the hormone, including the growth-promoting effects.24 25 In cardiac tissues, Ang II receptors have been localized to the myocardium, coronary vessels, sympathetic nerves, and conduction system.1 2 With the development of selective receptor antagonists, it has been possible to examine the distribution pattern of Ang II receptor subtypes in the heart by using radioligand binding assays or in situ autoradiography. The AT1 and AT2 subtypes were found to be expressed in nearly equal ratios in rat26 27 and rabbit28 hearts, whereas monkey29 and bovine30 tissues contain twice as many AT1 receptors. The human ventricular myocardium predominantly expresses the AT2 receptor subtype.30 Interestingly, recent studies have demonstrated that cardiac AT1 receptor expression is increased in rat models of cardiac hypertrophy27 31 and after myocardial infarction.32 33
The aim of the present study was to evaluate the relation between the development of cardiac hypertrophy and the expression of Ang II receptors by use of cardiomyopathic Syrian hamsters. These animals develop a hereditary progressive cardiomyopathy resembling the hypertrophic cardiomyopathy observed in humans.34 It is characterized by spontaneous focal necrotic lesions detected in the heart after the first months of life that are followed by cardiac hypertrophy during late months and ultimate death as a consequence of heart failure.35 36 37
| Materials and Methods |
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Animals
Male Syrian cardiomyopathic (CHF 146) and inbred
control (CHF 148) hamsters (25 to 30, 70 to 75, 125 to 150, 225 to 250,
and 325 to 350 days old) and 14- to 16-day-pregnant
cardiomyopathic and inbred control hamsters were
purchased from the Canadian Hybrid Farms (Halls Harbour, Nova Scotia,
Canada). Heterozygous male hamsters were bred by female
cardiomyopathicxmale control and female controlxmale
cardiomyopathic hamster matings. All procedures for
animal experimentation conformed to the guidelines of the Canadian
Council for Animal Care and were monitored by an institutional animal
care committee.
Iodination of Sarile
Sarile was radioiodinated by a solid-phase
method using Iodo-Beads as the oxidizing agent.38 Briefly,
10 nmol of sarile was incubated at 4°C for 20 minutes with 1 mCi of
sodium iodide I-125 and two Iodo-Beads in 100 µL of 0.5 mol/L
potassium phosphate buffer (pH 7.0). The monoiodinated
peptide was purified by high-performance liquid
chromatography on a reverse-phase Vydac
C18 column. Elution was achieved at a flow rate of 1 mL/min
by using a 80-minute linear gradient of 15% to 55% acetonitrile in
0.1% trifluoroacetic acid. Fractions of 1.0 mL were collected and
counted for radioactivity. This method yielded typical
125I-sarile specific activities of 1700 to 2100
Ci/mmol.
Cardiac Membrane Preparation
The animals were anesthetized with thiopental (50 mg/kg
IP). Adult and embryonic (days 14 to 16 of gestation) hearts were
quickly removed and allowed to beat in ice-cold PBS. After they
were washed, the left and right ventricles were dissected, weighed, and
minced with scissors, and membranes were prepared as previously
described by Meloche et al39 with the following
modifications: Pooled adult (n=4 to 6) and embryonic (n=20 to 30)
hearts were homogenized in 20 mmol/L
NaHCO3, 10 mmol/L EDTA, 10-4 mol/L
PMSF, 10-6 mol/L leupeptin, and 10-6 mol/L
pepstatin A. The resulting high-spin membrane pellet was washed
once with 20 mmol/L NaHCO3, 1 mmol/L EDTA,
10-4 mol/L PMSF, 10-6 mol/L leupeptin, and
10-7 mol/L pepstatin A. The membranes were frozen in
liquid nitrogen and stored at -80°C until used. Freezing and thawing
of the membranes did not result in any loss of receptor binding
activity (data not shown). The protein concentration was assayed by the
colorimetric method of Lowry et al.40
Receptor Binding Assay
Cardiac ventricular membranes (250 µg) were
incubated with 0.2 nmol/L 125I-sarile and varying
concentrations of competing agents for 60 minutes at 25°C in a total
volume of 250 µL of 50 mmol/L Tris-HCl (pH 7.4), 150 mmol/L NaCl, 0.1
mmol/L EDTA, 1 mmol/L MgCl2, and 0.1%
heat-inactivated BSA. Bound 125I-sarile was
separated from free ligand by rapid filtration through GF/B filters
presoaked with 0.2% BSA, followed by washing with 50 mmol/L Tris-HCl
(pH 7.4) and 150 mmol/L NaCl. The radioactivity present in the
filters was counted in a Cobra Auto-Gamma (Packard) counter with 74%
efficiency. Averages of duplicate determinations of bound
125I-sarile were used for data analysis.
Competition binding curves were analyzed by nonlinear
least-squares curve fitting using the SCAFIT computer
program.41 Equilibrium binding constants are reported as
Kd, and receptor concentrations are
expressed as femtomoles per milligram of protein. For in utero and
heterozygous animals, total binding was measured by incubating
ventricular membranes (250 µg) with 0.2 nmol/L
125I-sarile in the absence or presence of the
AT1-selective antagonist losartan
(10-5 mol/L) or the AT2-selective
antagonist PD123319 (3x10-6 mol/L).
Histology
Left ventricular myocardial free walls were fixed in
10% neutral formalin. Four-micron transverse sections were then
stained with hematoxylin-phloxin-saffron before examination for
necrotic lesions.42 Calcification was examined by using
the von Kossa calcium technique.43
Statistics
Data are presented as mean±SEM. Results were evaluated
by unpaired Students t tests or one-way ANOVA and
Bonferroni t tests. The critical level of significance was
set at P
.05.
| Results |
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The progression of lesion formation in the cardiac muscle of the CHF
146 strain of cardiomyopathic hamsters has been
described by Hunter et al.37 These authors reported that
the development of lesions in these specific animals appears to be
similar to that seen in other strains, such as BIO 14.6 and UM-X7.1,
with the first lesions appearing in the left ventricle at 60 days of
age. In the present study, no histological lesions
were observed in the inbred control animals at any age or in the
cardiomyopathic hamsters at 25 to 30 days of age.
However, focal necrotic changes and calcium deposition were already
observed in the left ventricular wall of 70- to
75-day-old cardiomyopathic animals (Fig 2
). These typical lesions were observed with an increasing
density over time, and a constant worsening of the disease was noted in
aging animals.
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It is well established that the renin-angiotensin
system is activated in human heart failure.49 It
has also been demonstrated that the cardiomyopathic
hamsters, compared with normal hamsters, display an activated
renin-angiotensin system that is characterized by
higher plasma and left ventricular Ang II
concentrations47 as well as by higher
ventricular angiotensin-converting enzyme
activity.36 Furthermore, it has been reported that
angiotensin-converting enzyme inhibitors,
such as quinapril, cilasapril, and captopril, prevent the progression
of left ventricular failure and increase the median
probability of survival of the cardiomyopathic
animals.36 47 50 These data suggest that the
cardiomyopathic hamsters have a
renin-angiotensin profile similar to that in humans and
therefore provide a suitable model for investigating the role of this
system in heart failure. To determine whether changes at the level of
Ang II receptors might be associated with the development of cardiac
hypertrophy, we examined the expression and subtype
distribution of Ang II receptors in the ventricles of normal and
cardiomyopathic hamsters of 25 to 350 days of age. Fig 3
shows the characteristics of 125I-sarile
binding to cardiac ventricular membranes of 125-day-old
hamsters in competition experiments. Computer analysis of
binding data indicated that 125I-sarile binds to a
homogeneous population of sites in membranes derived from
normal and cardiomyopathic animals, with dissociation
constants of 0.76 and 0.67 nmol/L, respectively. Competition curves
with the selective antagonists losartan and PD
123319 revealed that losartan potently and completely displaced
125I-sarile binding in both groups of animals, whereas no
significant binding of PD 123319 was detected. These results
demonstrate that in contrast to other species such as rat, rabbit, or
monkey, the hamster ventricles express only the AT1 subtype
of Ang II receptors. The lack of expression of AT2
receptors was observed in normal and cardiomyopathic
hamsters of every adult group (data not shown).
|
Competition binding studies with losartan were performed to
quantitatively evaluate the binding characteristics of the cardiac
ventricular AT1 receptor in both groups of
hamsters. Interestingly, we found that the density of AT1
receptors was significantly increased in the ventricles of
cardiomyopathic animals, with a maximum augmentation of
90% observed at 70 to 75 days of age (Fig 4
). The
expression of the AT1 receptor was observed to increase in
every age group studied and was already present in
cardiomyopathic hamsters aged 25 to 30 days, when no
histological lesions were observed. The affinity of
losartan for the AT1 receptor did not vary
significantly between normal (Kd,
19.6±0.9 nmol/L; n=15) and cardiomyopathic
(Kd, 16.7±0.7 nmol/L; n=15) animals or
between the different age groups. Our present results are in
agreement with recent reports showing that the establishment of cardiac
hypertrophy in spontaneously hypertensive and renovascular
hypertensive rats or in rats after coarctation of the abdominal aorta
is associated with a significant increase in the expression of
AT1 receptors in the ventricles.27 31 In their
study, Suzuki et al27 reported that expression of both the
AT1A and AT2 receptor subtypes, which is nearly
equal in their experimental model, is upregulated during the
development of myocardial hypertrophy. However, treatment
of renovascular hypertensive animals with an AT1
antagonist completely reversed the index of cardiac
hypertrophy to the control level, whereas the
AT2 antagonist had no effect. In a related
study, Meggs et al32 showed that the density of
AT1, but not AT2 receptors is augmented
in isolated ventricular myocytes after acute myocardial
infarction. Similar findings were reported by Nio et al,33
although these authors demonstrated that myocardial infarction also
causes an increase in the gene transcription and protein expression of
the AT2 receptor. Taken together, these observations
strongly suggest that Ang II acting via the AT1 receptor
may play a pivotal role in the reactive hypertrophy of the
heart.
|
Numerous investigators have reported varying degrees of change in
-
as well as in ß-adrenergic receptors in the hearts of
cardiomyopathic hamsters from different
strains.51 It has also been demonstrated that the
synthesis and secretion of the atrial natriuretic peptide
are increased in the ventricles of cardiomyopathic
hamsters during moderate to severe heart failure.52 53
However, to the best of our knowledge, the present study is the
first to report that the development of cardiac hypertrophy
in the cardiomyopathic animals is associated with an
upregulation of Ang II receptors and more specifically of the
AT1 subtype.
Little is known on the molecular basis about the increased expression
of AT1 receptors in experimental models of cardiac
hypertrophy. Since the upregulation of
ventricular AT1 receptor was observed at a very
early stage in cardiomyopathic hamsters, before the
apparition of histological lesions, we verified whether
the expression of the receptor was already elevated in embryonic
hearts. For these experiments, total Ang II binding activity was
determined in ventricular membranes prepared from in utero
animals (days 14 to 16 of gestation). In contrast to the results
obtained in adult hearts, the AT2 receptor subtype was
found to represent a significant proportion (
45%) of the
total 125I-sarile binding activity (Fig 5
).
However, no differences were observed between control and
cardiomyopathic hamsters in the total expression of Ang
II receptors and in the proportion of AT1 and
AT2 subtypes (Fig 5
). To determine whether AT1
receptor density might be genetically regulated, we next examined the
expression of the receptor in cardiac ventricular membranes
from heterozygous (cardiomyopathicxcontrol) hamster
strains. As shown in Fig 6
, the AT1 receptor
binding activity in the ventricles of heterozygous animals was found to
be midway between that of control and cardiomyopathic
animals. These findings strongly suggest that the abnormal expression
of the AT1 receptor in the heart of
cardiomyopathic hamsters is directly regulated at the
genetic level. Additional genetic studies will be required to establish
whether the AT1 receptor gene itself is abnormal in these
animals.
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| Discussion |
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In summary, we have demonstrated that the Ang II AT1 receptor is upregulated in the ventricles of cardiomyopathic hamsters. Since the increased expression of AT1 receptors was already present at a stage when no histological lesions were detected and since heterozygous animals express intermediate density, our results suggest that Ang II acting via the AT1 receptor may play a role in the genesis and/or the maintenance of the cardiac hypertrophy in the hamster.
| Acknowledgments |
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Received April 6, 1995; accepted July 5, 1995.
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H. Matsubara Pathophysiological Role of Angiotensin II Type 2 Receptor in Cardiovascular and Renal Diseases Circ. Res., December 14, 1998; 83(12): 1182 - 1191. [Abstract] [Full Text] [PDF] |
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H. Ikezaki, H. Onyuksel, and I. Rubinstein Liposomal VIP attenuates phenylephrine- and ANG II-induced vasoconstriction in vivo Am J Physiol Regulatory Integrative Comp Physiol, August 1, 1998; 275(2): R588 - R595. [Abstract] [Full Text] [PDF] |
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N. Ohkubo, H. Matsubara, Y. Nozawa, Y. Mori, S. Murasawa, K. Kijima, K. Maruyama, H. Masaki, Y. Tsutumi, Y. Shibazaki, et al. Angiotensin Type 2 Receptors Are Reexpressed by Cardiac Fibroblasts From Failing Myopathic Hamster Hearts and Inhibit Cell Growth and Fibrillar Collagen Metabolism Circulation, December 2, 1997; 96(11): 3954 - 3962. [Abstract] [Full Text] |
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E. Giasson, M. J. Servant, and S. Meloche Cyclic AMP-mediated Inhibition of Angiotensin II-induced Protein Synthesis Is Associated with Suppression of Tyrosine Phosphorylation Signaling in Vascular Smooth Muscle Cells J. Biol. Chem., October 24, 1997; 272(43): 26879 - 26886. [Abstract] [Full Text] [PDF] |
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V. Regitz-Zagrosek, J. Fielitz, R Dreysse, A. G Hildebrandt, and E. Fleck Angiotensin receptor type 1 mRNA in human right ventricular endomyocardial biopsies: downregulation in heart failure Cardiovasc Res, July 1, 1997; 35(1): 99 - 105. [Abstract] [Full Text] [PDF] |
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